儿吐不止何因生,秽恶停留胃内成,或缘禀赋胎寒热,或因生时感寒风。秽恶一捻金散下,外感
香苏温散能,热涎酸粘连陈治,寒吐清沫用理中。
【注】儿自胞胎既脱以后,有因便秘、腹中秽恶不净,令儿腹满其吐不止者,一捻金
主之;若生育时触冒寒邪,入里犯胃,则曲腰而啼,吐沫不止者,香苏饮温散之。又有
胎前受热,面黄赤、手足温,口吐黄涎酸粘者,二陈汤加黄连主之;若胎前受寒,面青
白、四肢冷、口吐清稀白沫者,理中汤主之。
一捻金(方见不乳)
香苏饮
藿香 苏叶 浓朴(姜炒) 陈皮 茯苓 木香(煨) 枳壳(麸炒) 炙甘草
引用生姜,水煎服。
【方歌】香苏饮用藿香苏,浓朴陈皮枳壳茯,甘草木香一并入,生姜为引吐能除。
黄连二陈汤
半夏(姜制) 陈皮 茯苓 生甘草 黄连
引用生姜,水煎服。
【方歌】儿生胎热吐频频,医治须当用二陈,半夏陈皮茯苓草,姜连加入效如神。
理中汤
小便不通胎热壅,异赤八正二方从,外用豆豉贴脐法,须臾小便自能通。
【注】小儿初生不小便者,乃胎热流于下也,宜导赤散。热盛者八正散主之。外用豆
豉膏贴脐上,则小便自通矣。
导赤散
生地黄 木通 甘草(生)
引用灯心、竹叶水煎服,加黄连、滑石、赤苓更妙。
【方歌】方名导赤妙难言,生地木通甘草煎,引用灯心共竹叶,清热利水便如泉。
八正散
扁蓄 瞿麦 滑石(飞) 木通 赤苓 车前子 生大黄 栀子(生)
引用灯心水煎服。
【方歌】八正散治小便秘,扁蓄瞿麦车前利,木通滑石赤茯苓,大黄栀子合成剂。
豆豉膏
淡豆豉(一勺) 田螺(十九个) 葱(一大束)
捣烂,用芭蕉汁,调贴脐上。
小儿呕吐不止是什么原因引起的?是因为污秽之物停滞在胃中形成的。或者是因为先天禀赋导致胎寒或胎热,或者是出生时感受了风寒邪气。对于污秽停滞引起的呕吐,可用一捻金散治疗;对于外感风寒引起的呕吐,可用香苏饮温散治疗;对于热痰(酸粘涎)引起的呕吐,用二陈汤加黄连治疗;对于寒吐(清稀白沫),用理中汤治疗。
【注释】婴儿脱离母体后,如果因为便秘、腹中污秽不净,导致腹部胀满而呕吐不止的,主治方剂是一捻金;如果在生育时触犯了寒邪,寒气入里侵犯胃腑,表现为弯腰啼哭、呕吐白沫不止的,用香苏饮温散治疗。又有产前受热,表现为面色黄赤、手足温暖、口吐黄色酸粘涎液的,用二陈汤加黄连主治;如果产前受寒,表现为面色青白、四肢冰冷、口吐清稀白沫的,用理中汤主治。
一捻金(方剂见“不乳”章节)
香苏饮
藿香 紫苏叶 厚朴(姜炒) 陈皮 茯苓 木香(煨) 枳壳(麸炒) 炙甘草
引用生姜为引,水煎服。
【方歌】香苏饮用藿香和苏叶,厚朴陈皮枳壳茯苓加入,甘草和木香一并放入,以生姜为引可消除呕吐。
黄连二陈汤
半夏(姜制) 陈皮 茯苓 生甘草 黄连
引用生姜为引,水煎服。
【方歌】婴儿出生胎热呕吐频繁,医治应当使用二陈汤,半夏陈皮茯苓甘草,加入姜汁和黄连效果如神。
小便不通是因为胎热壅滞,可用导赤散和八正散两个方剂顺其病势治疗。外用豆豉贴脐法,片刻之后小便自然能通。
【注释】新生儿初生时不小便,是由于胎热流注于下焦所致,宜用导赤散。如果热势亢盛的,用八正散主治。外用豆豉膏贴敷在肚脐上,小便自然就会通畅。
导赤散
生地黄 木通 甘草(生)
引用灯心草、竹叶水煎服,加入黄连、滑石、赤茯苓更好。
【方歌】方名导赤妙处难以言表,生地黄木通甘草煎煮,引用灯心草共配竹叶,清热利水小便如泉涌。
八正散
扁蓄 瞿麦 滑石(飞研) 木通 赤茯苓 车前子 生大黄 栀子(生)
引用灯心草水煎服。
Why does an infant suffer from incessant vomiting? It is caused by the retention of foul substances in the stomach. This may stem from congenital endowment resulting in fetal cold or heat, or from contracting wind-cold at birth. For vomiting due to retained foulness, Yi Nian Jin San (One-Pinch Gold Powder) is used; for external contraction of wind-cold, Xiang Su Yin (Fragrant Perilla Decoction) is used to warm and disperse; for phlegm-heat manifesting as sour, sticky saliva, Er Chen Tang (Two-Aged Decoction) with Huang Lian (Coptis Rhizome) is employed; for cold vomiting with clear, thin froth, Li Zhong Tang (Regulate the Middle Decoction) is indicated.
[Note] After leaving the womb, if an infant suffers from constipation and incomplete evacuation of intestinal waste, leading to abdominal distension and incessant vomiting, Yi Nian Jin (One-Pinch Pill) is the primary treatment. If cold pathogens were contracted during delivery and invaded the interior affecting the Stomach, causing the infant to cry with a curved waist and vomit froth incessantly, Xiang Su Yin (Fragrant Perilla Decoction) is used to warm and disperse. Additionally, if heat was accumulated prenatally, presenting with a yellow-red complexion, warm hands and feet, and vomiting of yellow, sour, sticky saliva, Er Chen Tang (Two-Aged Decoction) added with Huang Lian (Coptis Rhizome) is prescribed. If cold was accumulated prenatally, presenting with a cyan-white complexion, cold limbs, and vomiting of clear, thin white froth, Li Zhong Tang (Regulate the Middle Decoction) is prescribed.
Yi Nian Jin (Formula see "Failure to Suckle")
Xiang Su Yin (Fragrant Perilla Decoction)
Huoxiang (Agastache Herba), Ziye (Perillae Folium), Houpo (Magnoliae Officinalis Cortex) [stir-fried with ginger juice], Chenpi (Citri Reticulatae Pericarpium), Fuling (Poria), Muxiang (Aucklandiae Radix) [roasted], Zhike (Aurantii Fructus Immaturus) [bran-fried], Zhi Gancao (Glycyrrhizae Radix et Rhizoma Preparata).
Use Shengjiang (Zingiberis Rhizoma Recens) as a guide, decoct in water and take orally.
[Formula Song] Xiang Su Yin uses Huoxiang and Ziye, Houpo, Chenpi, Zhike, and Fuling are added, Gancao and Muxiang are included together, using Shengjiang as a guide eliminates vomiting.
Huanglian Erchen Tang (Coptis Two-Aged Decoction)
Banxia (Pinelliae Rhizoma) [prepared with ginger juice], Chenpi (Citri Reticulatae Pericarpium), Fuling (Poria), Sheng Gancao (Glycyrrhizae Radix et Rhizoma Raw), Huanglian (Coptidis Rhizoma).
Use Shengjiang (Zingiberis Rhizoma Recens) as a guide, decoct in water and take orally.
[Formula Song] Infant born with fetal heat vomits frequently, treatment requires Er Chen Tang, Banxia, Chenpi, Fuling, and Gancao, adding Jiang (Ginger) and Lian (Coptis) yields miraculous effects.
Li Zhong Tang (Regulate the Middle Decoction)
Urination obstruction is due to fetal heat stagnation; follow the principles of Dao Chi San (Guide Out Red Powder) and Ba Zheng San (Eight-Upright Powder). Externally, apply Dou Chi Paste (Fermented Soybean Paste) to the umbilicus; urination will naturally flow shortly.
[Note] Newborns who do not urinate initially do so because fetal heat flows downward. Dao Chi San (Guide Out Red Powder) is appropriate. If heat is severe, Ba Zheng San (Eight-Upright Powder) is the primary treatment. Applying Dou Chi Gao (Fermented Soybean Paste) externally to the umbilicus allows urination to flow naturally.
Dao Chi San (Guide Out Red Powder)
Sheng Dihuang (Rehmanniae Radix Preparata), Mutong (Akebiae Caulis), Gancao (Glycyrrhizae Radix et Rhizoma) [raw].
Use Dengxin Cao (Junci Medulla) and Zhuye (Bambusae Folium) as guides, decoct in water. Adding Huanglian (Coptidis Rhizoma), Huashi (Talcum), and Chifuling (Poria with Red Core) is even better.
[Formula Song] The name Dao Chi San is wonderful and hard to describe, Sheng Dihuang, Mutong, and Gancao are decocted, using Dengxin Cao and Zhuye as guides, clears heat and promotes urination like a spring.
Ba Zheng San (Eight-Upright Powder)
Bianxu (Polygoni Avicularis Herba), Qumai (Dianthi Herba), Huashi (Talcum) [washed], Mutong (Akebiae Caulis), Chifuling (Poria with Red Core), Cheqianzi (Plantaginis Semen), Sheng Dahuang (Rhei Radix et Rhizoma Raw), Zhizi (Gardeniae Fructus) [raw].
Use Dengxin Cao (Junci Medulla) as a guide, decoct in water and take orally.
[Formula Song] Ba Zheng San treats urinary blockage, Bianxu, Qumai, and Cheqian promote diuresis, Mutong, Huashi, and Chifuling, combined with Dahuang and Zhizi form the formula.
Dou Chi Gao (Fermented Soybean Paste)
Dan Douchi (Sojae Semens Preparatum) (one spoon), Tianluo (Cipangari Chalceus) (nineteen pieces), Congbai (Allii Fistulosi Bulbus) (one large bunch).
Mash thoroughly, mix with Bajiao Zhi (Musa Basjoo Juice), and apply to the umbilicus.